Stanford University

Health and Medicine

FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.

FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.

Community Health Services and Primary Health Care Reform in China

-

This workshop will focus on the importance of community health services and primary health care reform in China and discuss what clinicians and policymakers are doing to improve health outcomes. With researchers and clinicians from China and the US, we will discuss the policy challenges to improving China’s health care system at the community and grassroots level. Key themes include China’s local experiences, showcasing innovations in Hangzhou, as well as the question of how the private sector might play a role in strengthening community health in China. The Asia Health Policy Program thanks ACON Biotechnology for sponsoring this event.

http://aparc.fsi.stanford.edu/research/innovations-primary-care

 

Stanford Center at Peking University

Beijing, China

Jean Oi Stanford University
Liang Wannian China Health and Family Planning Commission
Feng Lin Chairman, ACON Biotechnology

Karen Eggleston

Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055

(650) 723-9072 (650) 723-6530
0
Senior Fellow at the Freeman Spogli Institute for International Studies
Center Fellow at the Center for Health Policy and the Center for Primary Care and Outcomes Research
Faculty Research Fellow of the National Bureau of Economic Research
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
karen-0320_cropprd.jpg PhD

Karen Eggleston is a Senior Fellow at the Freeman Spogli Institute for International Studies (FSI) at Stanford University and Director of the Stanford Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center at FSI. She is also a Fellow with the Center for Innovation in Global Health at Stanford University School of Medicine, and a Faculty Research Fellow of the National Bureau of Economic Research (NBER). Her research focuses on government and market roles in the health sector and Asia health policy, especially in China, India, Japan, and Korea; healthcare productivity; and the economics of the demographic transition.

Eggleston earned her PhD in public policy from Harvard University and has MA degrees in economics and Asian studies from the University of Hawaii and a BA in Asian studies summa cum laude (valedictorian) from Dartmouth College. Eggleston studied in China for two years and was a Fulbright scholar in Korea. She served on the Strategic Technical Advisory Committee for the Asia Pacific Observatory on Health Systems and Policies and has been a consultant to the World Bank, the Asian Development Bank, and the WHO regarding health system reforms in the PRC.

Economics of Health and Aging in Asia

View Research Cluster
Director of the Asia Health Policy Program, Shorenstein Asia-Pacific Research Center
Stanford Health Policy Associate
Faculty Fellow at the Stanford Center at Peking University, June and August of 2016
CV
Hide publication sections
Off
Date Label
Stanford University
Jiangnan Cai Director of Health Management and Policy Research, CEIBS
Jiaji Wang Guangzhou School of Public Health
Hai Fang Peking University School of Public Health
Min Yu Deputy - Director, Zhejiang CDC
Zhiling Zhou Deputy - Director, Hangzhou Health and Family Planning Commission
Yan Ma Deputy - Director, Shangcheng District Government
Randall Stafford Program Director, Program on Prevention Outcomes and Practices, Stanford University
Hengjin Dong Zhejiang University
Shuling Chen Zhejiang University
Zhihong Hu Director, Xiao Ying Xiang Community Health Service Center
Fang Qian Director, Si Ji Qing Community Health Service Center
Workshops

Health System Transformation in Myanmar: Are the Current Changes Promising?

-

This is a time at which the global movement for universal health coverage (UHC) is under intense review.  As an isolated country which recently opened up to the world, Myanmar has endorsed the goal of achieving UHC by 2030. However, current evidence has shown that there will be significant challenges for Myanmar to achieve this target.  The Myanmar health system comprises a pluralistic mix of public and private systems both in financing and provision. It was ranked the second worst in terms of ‘overall health system performance’ by the WHO in 2000. According to World Bank (2012), the country’s out-of-pocket payment burden is one of the highest in the world, at 81% of total health expenditures, resulting in high levels of catastrophic health expenditure. About three-quarters of Myanmar’s citizens, including the poorest and most marginalized communities, find themselves with very limited access to essential health services. And too many of these same populations suffer a further burden of being pushed, or kept, in poverty because they have to pay for their health care. Recognizing the fragility of its health system, Myanmar launched some transformations in the health sector in 2011. The most significant changes were increasing the health budget four-fold since 2011, launching some health insurance programs in some areas, starting to collaborate with a diversity of actors in the health sector, and major structural changes in the Ministry of Health, Myanmar. This colloquium will reflect upon these transformations and discuss how the changes will shape Myanmar’s future health system, drawing upon comparisons with health reforms in other South East Asian countries.

phyu phyu thin zaw4x4
Phyu Phyu Thin Zaw is currently a visiting scholar at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC). Her research interests are reproductive health, equity, health policies and gender issues.  

After receiving her MBBS degree from the University of Medicine (Mandalay), Phyu Phyu worked for two years at a public hospital. In 2009, she became an active researcher at the Department of Medical Research (Upper Myanmar). As a researcher, she participated in various clinical and public health researches and presented papers at national and international conferences. She was also actively involved in the welfare of underprivileged groups in Myanmar. She earned her PhD in Epidemiology from the Prince of Songkla University, Thailand in 2013. After her PhD, she continued her work at DMR (Upper Myanmar) as a research officer as well as a member of the secretariat of the Academic Committee. She was also as a field supervisor in two national surveys on HIV and RH commodities and services in Myanmar. She has also published journal articles on equity, gender differences and RH services utilization among the poor.

At APARC, Phyu Phyu will study the current trends of Myanmar health policies in general, as well as the specific sex education programs of the country. She will investigate how Myanmar/Burmese culture affects the objectives of the current sex education programs at schools based on the perceptions of adolescent students, teachers and parents.

 

Download pdf

The Philippines Conference Room

Encina Hall 3rd Floor Central

616 Serra Street

Stanford, CA 94305

Phyu Phyu Thin Zaw 2014-2015 Walter H. Shorenstein Asia-Pacific Research Center Visiting Scholar
Seminars

Primary Care and Valuing Diabetes Care in Hong Kong: Implications for Developing Health Services in Mainland China

-

China has a relatively weak primary healthcare system as well as the highest absolute disease burden of diabetes in the world, accounting for almost one in three diabetes patients globally. An estimated 74.2% of the 114 million Chinese patients with diabetes are untreated. Extending treatment will add a heavy burden on the health care system. As the most developed Chinese city that spends a modest 5.1% GDP on health with excellent outcomes, Hong Kong may serve as a cost-effective model for strengthening primary  care for chronic disease management, with diabetes care as an example.

In this seminar, Professor Leung will discuss the health system in Hong Kong, the importance of primary care, and recent research assessing the ‘value for money’ of care for all 631,469 patients with diabetes who attended the public sector in Hong Kong between 2006 and 2013.  He argues that the publicly funded and provided integrated model of Hong Kong may serve as a useful value-for-money reference as mainland China scales up to address the national epidemic of chronic disease like diabetes.  

leung4x4
Gabriel Leung became the fortieth Dean of the Li Ka Shing Faculty of Medicine in August 2013. Leung, a clinician and a respected public health authority, concurrently holds the Chair of Public Health Medicine. Previously he was Professor and Head of Community Medicine and served as Hong Kong’s first Under Secretary for Food and Health and fifth Director of the Chief Executive's Office in government.

Leung specialises in the field of public health medicine, a statutorily accredited specialty that covers the full range of public health sciences and their constituent disciplines.

Within the broad scope of public health medicine, his major interests revolve around topics that 1) have major population health impact locally, 2) where Hong Kong is a reliable and unique epidemiologic sentinel for mainland China, or 3) where Hong Kong is particularly endowed and best placed to address the fundamental science at hand. As such his research crosses the traditional boundaries of individual disciplines or fields of enquiry.

Download pdf

Philippines Conference Room

Encina Hall 3rd. Floor Central

616 Serra Street,

Stanford, CA 94305

Gabriel M. Leung Division of Health Economics, Policy and Management, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China
Seminars
Innovations in Primary Care

Current Status of the Health System in Mongolia

-

The Asian Liver Center and the Asia Health Policy Program joint event.

Current Status of the Health System in Mongolia
Download pdf

Asian Liver Center

780 Welch Road, CJ 130

Palo Alto, CA

Enkhbold Sereenen Deputy Director, National Center for Communicable Disease, Ministry of Health, Mongolia
Seminars

Primary Healthcare and the Private Sector in Low- and Middle-Income Countries: Asia in Comparative Perspective

-

Anne Mills will speak about primary healthcare and the private sector in low- and middle-income Countries, drawing from her wide-ranging expertise and careful empirical evaluation of health policies in a range of countries in Asia, Africa, and other parts of the developing world. Linking themes of good health at low cost and equitable paths toward universal coverage, Professor Mills will argue how policymakers might best strengthen healthcare systems in the Asia-Pacific region, including the opportunities for health and efficiency improvements and the opportunity costs of continuing hospital-centric delivery systems. Professor Mill embodies a distinctive ability to combine broad thinking on the role of primary care with specific examples of how to harness the private sector toward public health objectives, an inter-linked theme the Asia Health Policy Program’s colloquium series and policy research. 

mills anne office 094x4
Dame Anne Mills DCMG, CBE, FRS  Vice Director and Professor of Health Economics and Policy at the London School of Hygiene and Tropical Medicine. In 2014 she became a Fellow of the Royal Society and was made a Dame in the 2015 New Year's Honors. Her main research interests are: (1) issues concerned with the financing and organization of health care in low and middle income countries, including the impact on demand, utilization, equity and efficiency, and the private health sector; (2) the economics of tropical disease control; and (3) how to encourage the use of economic thinking and analysis in decision making. Professor Mills has been active in making economic evaluation techniques accessible to a non-specialist audience, as well as initiatives to build capacity in health economics. She chaired the Board of the Alliance for Health Policy and Systems Research, based in WHO; was a member of the Commission on Macroeconomics and Health; and co-chaired Working Group 1 of the High Level Taskforce on Innovative International Financing for Health Systems.  Dr. Mills was President of the International Health Economics Association for 2012-13, and is currently a Board member of Health Systems Global.

Download pdf

Philippines Conference Room

Encina Hall, 3rd Floor Central

616 Serra Street,

Stanford, CA 94305

Anne Mills Vice Director and Professor of Health Economics and Policy London School of Hygiene and Tropical Medicine
Seminars
Innovations in Primary Care

Announcing three postdoctoral fellows for 2015-16

News Type
News
Date
Paragraphs

Each year the Walter H. Shorenstein Asia-Pacific Research Center offers fellowship opportunities to recent graduates to further their research and engage with scholars at Stanford. Postdoctoral fellows have the opportunity to develop their dissertations for publication, present their research to the Stanford community, and participate in Center activities.

Fellows often go on to pursue teaching positions and advisory roles at top universities and research organizations around the world. Into the future, they remain engaged with the Center and continue to contribute to Shorenstein APARC publications, conferences and related activities.

Shorenstein APARC is pleased to welcome three postdoctoral fellows for the 2015-16 academic year:

Asia Health Policy Fellow

darika profile
Darika Saingam

Saingam’s research interests are public health, substance abuse, drug policy and Southeast Asia. While at Shorenstein APARC, she will research the evolution of substance-abuse control measures and related policy in Thailand.

Saingam seeks to identify potentially effective policy directions suitable for Thailand, and other developing countries in Southeast and East Asia.

“There are a lot of lessons to be learned from substance abuse policy implementations in other countries…coping and dealing with substance abuse is a complex story and cannot respond successfully with only one strategy.”

Saingam completed her doctorate in epidemiology at the Prince of Songkla University in 2012, and has served as a researcher at the University’s epidemiology unit since, as well as a researcher at the Thailand Substance Abuse Academic Network since 2014.

Shorenstein APARC Postdoctoral Fellows

chang profile
Booseung Chang

Chang’s research interests are comparative policy analysis and political institutions in East Asia, mainly South Korea and Japan. While at Shorenstein APARC, Chang will conduct research on how countries respond differently to the same external challenges, and how institutions are interpreted and applied in different ways.

His dissertation, which he seeks to build upon, is titled “The Sources of Japanese Conduct: Asymmetric Security Dependence, Role Conceptions, and the Reactive Behavior in response to U.S. Demands.” It is a qualitative comparative case study of how key U.S. allies in Asia – namely Japan and South Korea – and major powers in Europe - the United Kingdom and France responded to the U.S.-led Persian Gulf War and the Iraq War.

“East Asia is a treasure island of new theory building because some of the big challenges facing East Asia – finding a new role for Japan, denuclearization of North Korea, unification of the Korean peninsula, democratization of China and reconfiguration of its relations with the world, and development and integration of Southeast Asian countries – are truly new ones…”

Chang completed his doctorate in political science from the Paul H. Nitze School of Advanced International Studies at Johns Hopkins University in 2014.

rnico profile
Nico Ravanilla

Ravanilla’s research interests are political economy and governance, comparative politics and Southeast Asia. While at Shorenstein APARC, Ravanilla will research how political selection impacts governance, and evaluate possible routes for incentivizing capable and virtuous citizens to run for public office.

His project titled “Nudging Good Politicians” looks at the case of the Sangguniang Kabataan, a governing body in the Philippines comprised of elected youth leaders. Ravanilla aims to apply his research to develop and scale up programs for politicians, especially those at the onset of their careers, which would include specialized leadership training and merit-based endorsement.

“If we could design a policy that screens-in and incentivizes competent and honest citizens to run for office, would it play a catalytic role in improving the quality of the political class, and ultimately, the quality of government?”

Ravanilla is also a Southeast Asia Research Group (SEAREG) Young Southeast Asia Fellow for 2015-16. He will complete his doctorate in political science and public policy from the University of Michigan in summer 2015.

Hero Image
hoover quad
View of Hoover Tower from Stanford's main quad.
Linda A. Cicero / Stanford News Service
All News button
1

Chronic Disease Control in China and the Role of Primary Healthcare

-

This workshop will focus on the large and growing burden of chronic non-communicable disease (NCD) in China and the importance of strengthening primary healthcare in managing patients with chronic disease. With experts from China’s national and local Centers for Disease Control and Prevention as well as prominent academic researchers, we will discuss China’s NCD burden and the experiences of localities in implementing China’s national program on NCD control, as well as other related health economic research. Thanks to a generous gift from ACON Biotech, Stanford’s Asia Health Policy Program is hosting this workshop as part of a series of events in Beijing and at Stanford on innovations in primary care.

Agenda:

8am Continental breakfast, registration

8:30 Welcome, Karen Eggleston and Randall Stafford, Stanford University

8:35  “NCDs, Health Reform, and the Role of Primary Health Care”

         Professor Meng Qingyue, Peking University

China CDC views on the NCD burden and pilot sites for comprehensive control of chronic disease (国家慢性病综合防控示范区)

         8:50 A View from the National CDC

         Dong Jianqun, National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention

         9:05 The Experience of Zhejiang Province

         Fang Le, Associate Chief Physician , Zhejiang Provincial Center for Disease Control and Prevention

         9:20 The Experience of Shandong Province: The Shandong-Ministry of Health Action for Salt and Hypertension (SMASH) Initiative

         Wang Yan, Shandong Provincial Center for Disease Control and Prevention

Research perspectives on NCDs, the elderly, and primary care

9:35 Evidence from the China Health and Retirement Longitudinal Study (CHARLS)

        Professor Lei Xiaoyan, Peking University

9:50 Additional research perspectives

10:05 – 11:00am Discussion

11:00 - 12:30pm  Buffet Lunch

 

Download pdf
Download pdf
Download pdf
Download pdf
Download pdf

The Stanford Center at Peking University

Map and direction:

http://scpku.fsi.stanford.edu/content/traveling-scpku-and-beijing

 

Karen Eggleston

Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055

(650) 723-9072 (650) 723-6530
0
Senior Fellow at the Freeman Spogli Institute for International Studies
Center Fellow at the Center for Health Policy and the Center for Primary Care and Outcomes Research
Faculty Research Fellow of the National Bureau of Economic Research
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
karen-0320_cropprd.jpg PhD

Karen Eggleston is a Senior Fellow at the Freeman Spogli Institute for International Studies (FSI) at Stanford University and Director of the Stanford Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center at FSI. She is also a Fellow with the Center for Innovation in Global Health at Stanford University School of Medicine, and a Faculty Research Fellow of the National Bureau of Economic Research (NBER). Her research focuses on government and market roles in the health sector and Asia health policy, especially in China, India, Japan, and Korea; healthcare productivity; and the economics of the demographic transition.

Eggleston earned her PhD in public policy from Harvard University and has MA degrees in economics and Asian studies from the University of Hawaii and a BA in Asian studies summa cum laude (valedictorian) from Dartmouth College. Eggleston studied in China for two years and was a Fulbright scholar in Korea. She served on the Strategic Technical Advisory Committee for the Asia Pacific Observatory on Health Systems and Policies and has been a consultant to the World Bank, the Asian Development Bank, and the WHO regarding health system reforms in the PRC.

Economics of Health and Aging in Asia

View Research Cluster
Director of the Asia Health Policy Program, Shorenstein Asia-Pacific Research Center
Stanford Health Policy Associate
Faculty Fellow at the Stanford Center at Peking University, June and August of 2016
CV
Hide publication sections
Off
Date Label
Karen Eggleston Stanford University
Randall Stafford Stanford University
Meng Qingyue Peking University
Dong Jianqun National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention
Fang Le Associate Chief Physician Zhejiang Provincial Center for Disease Control and Prevention
Lei Xiaoyan Associate Professor Peking University
Wang Yan Shandong Department of Health
Workshops
Innovations in Primary Care

Child Gender, Living Arrangements and Maternal Labor Supply: Evidence from Rural China

-

This paper studies intergenerational living arrangements in the presence of pre-school children. Two particular driving forces behind living arrangements are considered: intergenerational labor specialization in childcare and work on the job; and sharing the companionship of children as a household public good. The theoretical model yields implications for intergenerational co-residence, maternal labor supply, and investment in children. Using China Health and Nutrition Survey data, we …find that women are more likely to co-reside with their mothers-in-law if they have higher earning abilities, or if they have fi…rstborn sons, who are considered more valuable household public goods under the widespread son preference in China. We also fi…nd that among extended households with higher probability to co-reside, the mothers are likely to spend more time on the job and be less involved in family chores, and the male children, on average, receive better health insurance and medical services than the female children do.

Philippines Conference Room

Encina Hall 3rd. Floor Central

616 Serra Street

Stanford, CA 94305

Ang Sun Assistant Professor, Renmin University of China
Seminars

Studies on Chinese Community Health Service Performance and Index

-

In the last decade, Chinese community health service institutions have experienced rapid development, so that 97 percent of Chinese citizens are covered under one form or another of social health insurance. Currently a comprehensive network of community health services in the cities of China has established and has gradually achieved full management integration and classification. Evaluating the performance of community health services is an important measure for a comprehensive review of the current situation of community health services, their processes and outcomes, and for improving the efficient allocation of health resources and service efficiency. This evaluation is also of great importance to improve the overall quality of health services. The main purpose of the present study was to establish a scientific, standardized community health service performance evaluation system, and to further promote the efficient and effective development of community health services. Using a variety of methods including literature research, expert discussion, expert consultation, and fuzzy evaluation, the established indicator system contains three levels of indicators across over thirty aspects of performance in providing basic health services to community residents. The application of this index could be integrated in different areas to evaluate and compare different community health service institutions scientifically.

Professor Yaping Du is the Deputy Director of Institute of Social and Family Medicine, Zhejiang University.  In 2005, Du received his doctor degree in Family Medicine from the University of Kiel, Germany. From 1979 to 1984, he studied clinical medicine at Zhejiang University School of Medicine and in 1993, he received a Master in Health Management from Peking Union Medical University. In 1997, Professor Du created the Department of Family Medicine in Zhejiang University and was awarded the the title of Associate Professor and Tutor for the Master program. For more than 10 years, Du has taken the lead in China for general practitioner residency training programs and has enriched the department to become the top academic institution awarding master’s and doctoral degrees in family medicine.   During Professor Du’s more than 27 years at Zhejiang University School of Medicine, he has established a laboratory of digital and information technology in primary healthcare, and was the Program Instructor of more than ten programs from the National Natural Science Foundation of China, Chinese Ministry of Science and Technology, International Cooperation and Zhejiang Province. Du has published more than 30 articles and 10 textbooks and has guided more than 30 postgraduates. Currently Professor Du is the senior expert of the MoH (Minister of Health) in exploring human resources for community health service, councilor of Family Medicine Educational Guide Committee of the MoE (Minister of Education), and Vice-Chairman and General Secretary of Zhejiang Provincial Society of Family Medicine.

Download pdf

Philippines Conference Room

Encina Hall 3rd Floor Central

616 Serra Street

Stanford, CA 95305

Yaping Du Institute of Social and Family Medicine, Zhejiang University, Hangzhou, China
Seminars
Innovations in Primary Care
Subscribe to Health and Medicine